Primary | Taxonomy Code | Taxonomy Specialty | License Number | License State |
---|---|---|---|---|
Y | 207RG0100X | Gastroenterologist | DO4575 | MD |
NPI | 1013945674 |
---|---|
Provider Name | Dr. Catherine M Chura |
First Address | Potomac, MD 20854-1300 |
Second Address | Silver Spring, MD 20906-1367 |
Gender | F |
NPI Entity type | Individual |
Is Sole Proprietor | Yes |
Is Organization Subpart | N/A |
Enumeration Date | 30/06/2006 |
Last Update Date | 11/04/2008 |
IDENTIFIER | TYPE / CODE | IDENTIFIER STATE |
---|---|---|
0013 | INDIVIDUAL -BLUECROSS (01) | MD |
B 773 | GROUP BLUE CROSS (01) | MD |
C62304 | (02) | MD |